A while ago, there was a patient in the outpatient clinic, which was very funny.
As soon as I entered the door, I complained to me:
Doctor Qiu, I came to see you for dizziness. I have seen this disease with a professor in the hospital;
When I was still talking about the symptoms, the professor scolded me: So long-winded and there are so many problems, how can I treat it?
I [laughing cry][laughing cry]
I don’t know if she has any exaggerated ingredients.
However, dizziness is indeed difficult to treat, and it is not easy to deal with both traditional Chinese and Western medicine.
There are more than a dozen or even dozens of diseases that cause dizziness in Western medicine. The same is true for
Chinese medicine. Phlegm and dampness will lead to dizziness; kidney deficiency and will lead to dizziness; blood deficiency and will lead to dizziness; liver fire and will lead to dizziness; blood stasis will lead to dizziness; and so on, there are countless lists.
Case introduction
Tell me about the situation of this female patient.
48 years old, in addition to dizziness, there are also sore waist and weak legs, shortness of breath and panic, and when you are hungry, you will lose your hands and feet, and your head and feet are heavy;
I looked at her tongue, and there were cracks, and the middle and back of the center was more obvious, and I was a little anxious.
I judged that she was liver and kidney yin deficiency and liver fire was strong, so I used Zhengan Xichun , a famous doctor in the late Qing Dynasty.
In the past, when I worked in the Chinese medicine department of Grade A hospital, our director was a famous Chinese medicine doctor passed down from five generations. He highly praised Zhang Xichun.
He said that there are only two Chinese medicine doctors in the world who can be called awesome, one is , Zhang Zhongjing, and the other is Zhang Xichun.
Old Zhang family has produced talents! ! !
Speaking of this patient, after taking the medicine in the first week, she told me during the follow-up visit:
is very good, is not dry, blocked or swelling, is not like what I used to take, the more I take it, the more I feel uncomfortable.
Now I feel dizzy, palpitations, and my legs are weak.
Theoretical analysis
So I prescribed her for 2 weeks to consolidate her medicine. She didn't come back after
. She must have recovered from the illness, which is a happy congratulation!
Traditional medicine believes that the liver and kidney are the same, the liver controls wood, and the kidney controls water;
The more the kidney water is, the liver yang will be hidden. If the kidney water is deficient and cannot nourish the liver wood, then the liver yang will become hyperactive, resulting in dizziness, chest tightness, irritability, dry mouth and tongue.
In layman's terms, the sun is too strong and it doesn't rain. The water in the river will gradually decrease, and the trees lack the nourishment of water, and will slowly wither.
So the solution is to nourish the liver and kidneys, calm the liver and suppress yang.
prescriptions use
Zhengan Xifeng Decoction is from "Medical Xinzhong Ginseng and Xiluo" , has the effects of relieving liver and extinguishing wind, nourishing yin and suppressing yang.
Its main composition is: Ashsop stomach , raw ochre, raw dragon bone, raw oyster , raw turtle shell, peony, Scrophularia ginseng , Aspen , chrysanthemum sapling, raw malt, Yinchen , Licorice .
The essence here lies in nourishing the yin of the liver and kidneys on the one hand, and on the other hand, it is important to absorb the yin.
Reuse of Huai Achyranthes as the main medicine for treating symptoms, which leads blood downward, and can nourish the liver and kidneys, and can nourish the liver and kidneys. It can nourish the liver and kidneys through the process;
uses four kinds of raw ochre, raw dragon bone, raw oyster, and raw turtle shell, which is of great quality and lowering the quality and nature. Reduce the reverse and hidden yang, suppress the liver and extinguish the wind;
uses peony, Scrophularia, Asparagus and Asparagus to replenish the positive energy, nourish yin and yang;
through chrysanthemum, malt , and yinchentiao to achieve the depression of liver qi, relieve the liver and relieve depression.
In fact, when Zhang Xichun founded this prescription, he mainly used the first eight medicines, but later he found that some patients had improved after taking the medicine for a while, but instead had aggravated the situation.
After thinking, Zhang Xichun realized: "The liver is the general's official, and his nature is strong. If the medicine is used forcibly, it may stimulate its reactionary force."
blindly suppresses the liver and suppresses the yang, which will cause reactionary momentum and be unwilling to accept it;
So adding Yinchen, Chuanlianzi and raw malt can take into account the liver's discharge.
This is why this female patient said that after taking the medicine, she felt " is not dry, blocked, and swelling.
Of course, each person's situation is different, I will not elaborate on the detailed dosage ratio here. It is very clear in Mr. Zhang Xichun's "Medical Concentration and Reference of Chinese and Western Records". If you are interested, you can refer to it.
In addition, in addition to treating dizziness, Zhengan Xifeng Decoction has many additions and subtraction applications;
Traditional medicine enthusiasts can explore more.
